- Humana (Raleigh, NC)
- **Become a part of our caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral ... health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the… more
- CVS Health (Raleigh, NC)
- …network management and clinical coverage and policies. **Primary Job Duties & Responsibilities:** Behavioral Health Medical Director + Collaborates with ... This person will oversee and be responsible for all behavioral health activities in the health..., physical health , and social determinants of health . The medical director will… more
- CVS Health (Raleigh, NC)
- …care resources. **This is a remote based (work from home) role.** In this role has Medical Director ( Behavioral Health ) you will: * Provide comprehensive ... behavioral health care management to facilitate delivery of appropriate quality...management team, including the management of high-risk cases and medical necessity decisions * Participate in the development, implementation,… more
- Elevance Health (Cary, NC)
- … Medical Director is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most ... opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for...For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years… more
- CVS Health (Raleigh, NC)
- …Michigan, Virginia, Pennsylvania, and New Jersey offering a variety of physical and behavioral health programs and services to its membership. Aetna is looking ... Bring your heart to CVS Health . Every one of us at CVS Health shares...for a medical director to be part of a centralized team that supports the … more
- Highmark Health (Raleigh, NC)
- **Company :** Endorsed **Job Description :** **GENERAL OVERVIEW** The Medical Director will provide qualified medical direction and consultation for care ... provide clinical leadership and guidance to the regional interdisciplinary team. The medical director collaborates clinically with the APP to insure standards… more
- Highmark Health (Raleigh, NC)
- …Patient care (hospital, outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed ... current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and… more
- CenterWell (Raleigh, NC)
- **Become a part of our caring community and help us put health first** The Director , Medical Coding extracts clinical information from a variety of ... codes (eg, ICD-10-CM, CPT) to patient records. The Director , Medical Coding requires an in-depth understanding...well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up… more
- CenterWell (Raleigh, NC)
- …Education, and work as a thought partner with Coding and Documentation Improvement Medical Director . The main responsibilities of the role are: + Determine ... strategy with clinical education team and CDI (coding and documentation improvement) medical director embedded in Clinical excellence. + Align clinician coding… more
- LifePoint Health (Wilson, NC)
- …distance of all that North Carolina has to offer. *_Why Choose Us:_**__* . Health ( Medical , Dental, Vision) and 401K Benefits for full-time employees . ... are not just what you can do. At Wilson Medical Center, a 294-bed facility, we bring new and...needs of staff. d. Counsels employees with performance or behavioral problems, and takes appropriate action for correction. e.… more
- Highmark Health (Raleigh, NC)
- …conceptualize and design how people interact with finding and accessing virtual/physical medical and behavioral care in tight collaboration with our Experience, ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- CenterWell (Raleigh, NC)
- …Appropriate certification to write prescriptions under the authority of a Collaborating Physician/ Medical Director + Experience working within EMR + Senior care ... part of our caring community and help us put health first** The Associate Director , Advanced Practice...well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up… more
- CenterWell (Raleigh, NC)
- …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... part of our caring community and help us put health first** The National Director , Clinical Pharmacy...Medical Officer. This role reports to the National Director , High Risk Patient Management. Responsibilities will include: +… more
- BrightSpring Health Services (Raleigh, NC)
- …Community Living, Adult Host Homes for adults regardless of disability, Behavioral /Mental Health Support, In-home Pharmacy Solutions, Telecare and Remote ... the needs of our clients in a variety of settings such as Home Health , Hospice, Residential and Private Duty. If your passion is outstanding patient care coupled… more
- Black & Veatch (Cary, NC)
- …an array of health care benefits including but not limited to medical , dental and vision insurances along with disability and a robust wellness program. To ... ** Director , Organization Effectiveness** Date: Sep 6, 2024 Location:...and solutions + Ability to synthesize multiple data and behavioral components + Multi-tasking ability to manage several reasonably… more
- Marriott (Raleigh, NC)
- …to receive minimum of 7 holidays annually. All locations offer coverage for medical , dental, vision, health care flexible spending account, dependent care ... **JOB SUMMARY** Marriott has an exciting opportunity for a Director on the Corporate Systems team within the Finance...a course of action. + Professional Demeanor - Exhibits behavioral styles that convey confidence and command respect from… more
- Humana (Raleigh, NC)
- **Become a part of our caring community and help us put health first** Director of Enterprise Information Protection (EIP) Cybersecurity Engineering focused on ... of manual processes using AI and RPA (Robotics Process Automation) ** Behavioral Competencies:** * Exceptional leadership skills, marked by poise, positive influence,… more
- Marriott (Raleigh, NC)
- …to receive minimum of 7 holidays annually. All locations offer coverage for medical , dental, vision, health care flexible spending account, dependent care ... internal and external user expectations and operations. The Senior Director collaborates with cross-functional teams both within Marriott's Global Technology… more
- LifePoint Health (Wilson, NC)
- …their families regarding psychosocial needs or problems. Reports to Director of Behavioral Health *_EEOC Statement:_* Wilson Medical Center is committed ... North Carolina has to offer. *_Why Choose Us:_* . Health ( Medical , Dental, Vision) and 401K Benefits...to the unique needs of the patients on the behavioral health unit. *Required License/Certifications:* Preferred- Licensed… more
- Evolent Health (Raleigh, NC)
- …as required. + Entering data into a proprietary system generates cases for both the medical and behavioral health reviewers. These requests may be submitted ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...will serve as a point of contact for processing medical treatment requests in accordance with departmental policies, regulatory… more